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21014 WOODLAKE DR.pdfI I I 0 DATL:, f CITY OF EDMONDS FEE: jk-z� jt:e— APPLICATION FOR CONDITIONAL USE RECT #: T7—d-'J HOME OCCUPATION PERMIT APO'S: FILE #: HhARING DATE(IF REQUIRED): WO APPLICANT: PIC KC-rt ADDRESS: ZioiLl &)XbLAW- OR -PHONE: 776 Indicate type or degree of interest in the property; Zu'40Iq -- OWNER::.5A(%F— AZOV F— ADDRESS: PHONE: — Use Zone (To be completed by Planning Department) VICINITY SKETCH: PLEASE SHOW BELOW A VICINITY SKETCH AS PER EXAMPLE *DICATING NORTH. ST PLE "11DICATI1113 I Example: W ,� M ST LOCATZhl oiF 1460SE. INDICATE TYPE OF BUSINESS AND DETAILS OF PROPOSED USAGE: !3-rakp�br-- OP P�kooE osc- RELEASENOLD HARMLESS AGREEMENT The undersigned applicant, his heirs and assigns, in consideration for the City processing the application agrees to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages and/or claims for damages, including reasonable attorneys' fees, arising from any action or inaction of the City whenever such action or inaction is based in whole or in part upon false, misleading or incomplete information furnished' by the applicant, his agents or employees. PERMISSION TO ENTER SUBJECT PROPERTY The undersigned applicant grants his, her or its permission for public officials and the staff of the City of Edmonds to enter the subject property for the purpose of inspection and posting attendant to this application. tAc Signature of Applicant, Owner or Representative 61 APPLICATION FOR 11014E OCCUPATION QUESTIONNAIRE Please anwer all questions. 1. Explain the type work that will be c onducted at the home. PROOZ- AOt)WEN06— S-TCJRP4-0�, CF E0OPMEV 2. What area of the home will be used? G A RJA r.---, F- - P RO N F- 3. Will anyone be employed at the home�besides yourself? If yes, please explain who and when employed? No 4. What type of equipment will be used in conjunction with the home occupation? o3jtit�c)Lo CLc-AOioc-1 5. Will there be any visits to the home by clients, employees, delivery service, etc? If so, how many, when etc? 6. Will you be selling or renting any 'goods on the premises? If so, what sort of goods? 7. Do you understand the conditions which must be met in order to obtain and continue to use a home occupa ti�on permit? YES 8. Can you identify any adverse impact I s on your neighborhood which may result from your operating the home i occupation you propose? Please explain. 0 .11 ADJACENT PROPERTY OWNER LIST PLEASE LIST ALL STREET ADDRESSES OF RESIDENTS� OF PROPERTY WITHIN 80 FEET OF THE PROPERTY LINES OF THE SITE.. ALSO LIST NAMES AND MAILING ADDRESSES OF OWNERS OF THESE SAME PROPERTIES. (THIS INFORMATION MAY BE OBTAINED FROM THE COUNTY ASSESSOR I S OFFICE',* IF A BANK IS LISTED AS OWNERj PLEASE INCLUDE LOAN NUMBER NEXT TO INDIVIDUAL I S NAME.) A-r- F-10E coploFp's I K N C) 12- 0 L 0, YZ: R 0 C bRWE Cp Z_j C) 10 B4-A � 4 ZLOOS RRK U I EW F-1 �zs CO 0 FluF- cjozOeRs P�kNi?,mAc� C/7 %4*CY % �PA cp 'o, 1�px cp % OOPA J1 k-l(x oeil cp � 5? (Xa � 7*>o Fo v IV ro Y� 0 oe� TO o i�;Oa �O� FO OR 00 cp 'C' 51 Cyr Epo ;?o I d; ec I Resident/Owner Robert G. Pickett Resident/Owner 21014 Woodlake Drive 21103-84th Ave. W. 8511 Main St. #204 Edmonds, WA 98020 Edmonds, WA 98020 Edmonds, WA 98020 Resident/Owner Tradewell 21105-84th Ave. W. 8401 Main Street Edmonds, WA 98020 Edmonds, WA 98020 Five Corners Pharmacy Resident/Owner 8403 Main St. 21107-84th Ave. W. Edmonds, WA 98020 Edmonds, WA 98020 Resident/Owner Resident/Owner 8405 Main St. 8515 Main St. #101 Edmonds, WA 98020 Edmonds, WA 98020 Resident/Owner Clifton Marcum 8515 Main St. #102 21012 Woodlake Drive Edmonds, WA 98020 Edmonds, WA 98020 Glen Crosbie Resident/Owner 21010 Woodlake Drive 8515 Main St. #103 Edmonds, WA .98020 Edmonds, WA 98020 W.H. Wright Resident/Owner 21018-84th Ave. W. 8515 Main St. '104 Edmonds, WA 98020 Edmonds, WA 987020 Gle6 Miller Resident/Owner 21005 Woodlake Drive 8513 Main St. '201 Edmonds, WA 98020 Edmonds, WA 987020 Resident/Owner Resident/Owner 21007 Woodlake Drive 8513 Main St. #202 Edmonds, WA 98020 Edmonds, WA 98020 Resident/Owner Resident/Owner 21025-83rd Ave. W. 8513 Main St. #203 Edmonds, WA 98020 Edmonds, WA 98020 Resident/Owner 6511 Main St. #205 Edmonds, WA 98020 Resident/Owner 8511 Main St. #206 Edmonds, WA 98020 Resident/Owner 8431 Main St. Edmonds, WA 98020 Resident/Owner 8429 Main St. Edmonds, WA 98020 Resident/Owner 8427 Main St. Edmonds, WA 98020 Resident/Owner 8425 Main St. Edmonds, WA 98020 Resident/Owner 8423 Main St. Edmonds, WA 98020 Resident/Owner 8421 Main St. Edmonds, -WA 98020 Resident/Owner 8419 Main St. #A Edmonds, WA 98020 0 - 810 a- 3Z - J : N